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NUR 265 Advanced Med Surg Exam 1 Questions and Correct Answers from Actual Exam 2026. A + SCORE. ULTIMATE GUIDE.pdf

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NUR 265 Advanced Med Surg Exam 1 Questions and Correct Answers from Actual Exam 2026. A + SCORE. ULTIMATE GUIDE.pdf

Institution
NUR 265 Advanced Med Surg
Course
NUR 265 Advanced Med Surg

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Galen College of Nursing-Louisville NUR 265


NUR 265 Exam 1
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What is nephrotic syndrome? A condition of increased glomerular permeability that allows larger molecules to
pass through the membrane into the urine and then be excreted.

, What are key features of nephrotic syndrome? -
Massive proteinuria
-Hypoalbuminemia
-Edema (facial and periorbital)
-Lipiduria
-Hyperlipidemia
-Increased coagulation
-Reduced kidney function


In nephrotic syndrome, severe protein loss in the urine is 3.5g in 24 hours
greater than what?


What is nephrotic syndrome treated with? -immunosuppressant agents (if immunity based).
-ACE inhibitors (decreased protein loss in urine)
-statins (improve blood lipid levels).
-Heparin (used to treat vascular effects and improve kidney function)


Describe Prerenal AKI. Give examples. Decreased perfusion to kidneys.


-NSAIDs
-Severe dehydration
-Renal artery stenosis
-MI or HF resulting in low ejection fraction and low cardiac output
-Blood/ fluid loss


Describe Intrarenal AKI. Give examples. Tissue damage to the actual kidneys.


-Glomerulonephritis or inflammation of the glomeruli
-Sepsis
-Intrarenal bleeding
-Pyelonephritis


Describe Postrenal AKI. Give examples. Obstruction that occurs after the kidney.


-Enlarged prostate (BPH)
-Bladder Cancer
-Kidney stones


How do you determine the mean arterial pressure Systolic + (Diastolic*2) /3
(MAP)?


What is the MAP needed to perfuse the kidneys? 65 mmHg


What are examples of nephrotoxic drugs? -NSAIDS
-Metformin
-Diuretics
-Antibiotics (especially -mycin)
-Contrast dye


During the diuretic phase of AKI, what needs to be Watch for dehydration and make sure output is greater than input
monitored?

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